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WHAT IS CASH-BASED PHYSICAL THERAPY?
PIVOT offers a "Superbill" to be submitted to insurance for out-of-network reimbursement, and payments are due at the time of service. You may pay for services using cash or a credit/debit card. Documentation for evaluations, treatment visits, and progress notes are performed just like any physical therapy practice and comply with all legal requirements.
In Clinic Services
per visit: $175
per visit: $250* and up
*Mobile pricing is based on a $175 base fee for service + a $75-$150 additional fee for travel,
to be determined by PIVOT based on distance/time
CAN MY INSURANCE BE BILLED FOR CASH-BASED
PHYSICAL THERAPY SERVICES?
Most insurance companies, with the exception of Medicare, Medicaid and some HMOs, will provide payment for services received "out of network." Going out of network means that you can choose to see a physical therapist who is not a participating provider with your insurance company. Many patients choose to receive services out of network in order to see the physical therapist of their choice. The end goal of documentation and billing is the same – getting paid. In the case of cash based services, it is the patient who is waiting for reimbursement rather than the provider. You will be provided with an invoice (also known as a superbill) at the end of each session which will include the treatment codes and diagnosis codes under which you are being treated. This can be submitted to some insurance companies by the patient to receive out of network reimbursement. Check with your insurance provider ahead of time to see what would be required for them to reimburse you through invoicing.